Verification Request

Hidden

Which form?

Person requesting information

Name*

First Last

Organisation

Organisation Address*

City Country

Email address where information is to be sent

Student Information

Name*

First Middle Last

Date of Birth*

USI (Unique Student Identifier) or Student ID

Your USI, or Unique Student Identifier is a reference number that creates an online record of your training and qualifications attained in Australia. If you don't know yours or don't have one, you can go to https://www.usi.gov.au/ for more information.

Campus*

Qualification awarded*

Year qualification completed*

Please attach signed consent form and any other documentation.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB, Max. files: 5.

Requests will not be completed without consent. Copies of certificates or other documents may be attached to assist the verification process.

Payment

Processing Fee Product

Processing Fee

$ 0.00

Credit Card*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Comments

This field is for validation purposes and should be left unchanged.

Person requesting information

Student Information

Payment

1300 709 019

October 2 2024

Industry Experience Day